Haslam M T
Harrogate Clinic, Crayke, York, United Kingdom.
Med Law. 1993;12(3-5):291-5.
In the debates leading to the redesigning of the Mental Health Act in 1983 in the United Kingdom much pressure was exerted by human rights activists and other parliamentary pressure groups to ensure that patients could not be detained or treated 'against their will' without considerable--and at times undesirable--safeguards. This has led to difficulties over 'informed consent' and the setting up of the Mental Health Act Commission. The following examples are given: (a) A case dealing with injuries sustained by a patient while absent from the hospital while under a detention order. (b) The inability for psychotics to receive delayed release injections whilst in community care. (c) The loss of facilities for admission, and the resulting problems of homelessness arising from the hospital closure policy.
在导致英国1983年重新制定《精神健康法》的辩论中,人权活动家及其他议会压力团体施加了很大压力,以确保在没有充分——且有时并不理想的——保障措施的情况下,患者不会被“违背其意愿”地拘留或治疗。这导致了“知情同意”以及精神健康法委员会设立方面的困难。现举以下例子:(a) 一个涉及患者在被拘留令拘押期间离院时受伤的案例。(b) 精神病患者在社区护理期间无法接受延迟释放注射。(c) 收治设施的丧失,以及因医院关闭政策导致的无家可归问题。